Healthcare Provider Details

I. General information

NPI: 1831041011
Provider Name (Legal Business Name): MATAYA KATZFEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MCCLENNAN BANKS DR
CHARLESTON SC
29401-1164
US

IV. Provider business mailing address

124 WENTWORTH ST APT 2
CHARLESTON SC
29401-1762
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-2300
  • Fax:
Mailing address:
  • Phone: 843-792-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberXXXXXXXXX
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: